Organization
MORNINGSIDE PRIMARY CARE
Active
Parent organization
MORNINGSIDE PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORNINGSIDE PRIMARY CARE
Authorized official
DR. LEMMON C MCMILLAN MD (OWNER)
(323) 750-9715
Entity
Organization
Contact information
Practice address
617 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(323) 750-9715
(323) 750-1532
Mailing address
617 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(323) 750-9715
(323) 750-1532
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0059701
—
CA
Enumeration date
08/30/2006
Last updated
11/01/2011
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